ATI chapter questions Flashcards
A nurse is providing information to a client who has a new prescription for hydrochlorothiazide (Hydrodiuril). Which of the following information should the nurse include?
a. take the medication with food.
b. plan to take the medication at bedtime.
c. expect increased swelling of the ankles.
d. fluid intake should be limited in the morning.
a. take the medication with food.
A nurse is monitoring a client who is receiving spironolactone (Aldactone). Which of the following findings should the nurse report to the provider?
a. serum sodium 148 mEq/L
b. urine output of 120 mL in 4 hr.
c. serum potassium 5.2 mEq/L
d. blood pressure 140/90 mm Hg
c. serum potassium 5.2 mEq/L
A client who has increased intracranial pressure is receiving mannitol (Osmitrol). Which of the follsing findings should the nurse report to the provider?
a. blood clucose 150 mg/dL
b. urine output 40 mL/hr
c. dyspnea
d. headache
c. dyspnea
A nurse is reviewing the health record of a client who is starting propanolol (Inderal) to treat hypertension. Which of the following conditions is a contraindication for taking propranolol?
a. asthma
b. diabetes
c. angina
d. tachycardia
a. asthma
A nurse is teaching a client who is starting verapamil (Calan) to control hypertension. Which of the following should the nurse include in the teaching?
a. increase the amount of dietary fiber in the diet.
b. drink grapefruit juice daily to increase vitamin C intake.
c. decrease the amount of calcium in the diet.
d. withold food for 1 hr after the medication is taken.
a. increase the amount of dietary fiber in the diet.
A nurse is caring for a client who is starting captopril (Capoten) for hypertentsion. For which of the following adverse effects should the nurse monitor the client?
a. hypokalemia
b. hypernatremia
c. neutropenia
d. anemia
c. neutropenia
A nurse in an acute care facility is infusing IV nitroprusside for a client who is in hypertensive crisis. For which of the following adverse reactions should the nurse monitor this client?
a. Intestinal ileus
b. neutropenia
c. delirium
d. hyperthermia
c. delirium
A nurse is providing teaching to a client who is starting simvastatin (Zocor). which of the following should the nurse include in the teaching?
a. take this medication in the evening.
b. change position slowly when rising from a chair.
c. maintain a steady intake of green leafy vegetables.
d. consume no more than 1 L of fluid/day
a. take this medication in the evening
A nurse is collecting data from a client who is taking gemfibrozil (Lopid). Which of the following assessment findings is an adverse reaction to the medication?
a. mental status changes
b. Tremor
c. jaundice
d. pneumonia
c. jaundice
A nurse is teaching a client who is taking digoxin (Lanoxin ) and has a new prescription for colesevelam (Welchol). Which of the following should the nurse include in the teaching?
a. take digoxin with your morning dose of colesevelam.
b. your sodium and potassium levels will be monitored periodically while taking colesevelam.
c. watch for bleeding or bruising while taking colesevelam.
d. take colesevelam with food and at least one glass of water.
d. take colesevelam with food and at least one glass of water.
A nurse is completing a nursing history for a client who currently takes simvastatin (Zocor). The provider recommends adding ezetimibe to the client’s medications. Which of the following disorders is a contraindication to adding ezetimibe (Zetia) to the client’s medications?
a. history of severe constipation
b. history of hypertension
c. active hepatitis C
d. type 2 diabetes mellitus
c. active hepatitis C
A nurse is planning to administer subcutaneous enoxaparin (Lovenox) to an adult client following hip arthroplasty. Which of the following actions should the nurse plan to take?
a. choose a 22-gauge needle to administer the injection.
b. use a 5/8-inch needle to administer the injection.
c. administer the injectionin the clients thigh.
d. aspirate carefully after inserting the needle into the clients skin.
b. use a 5/8-inch needle to administer the injection.
A nurse is caring for a hospitalized client who is receiving IV heparin for a deep-vein thrombosis. The client begins vomiting blood. After the heparin has been stopped, which of the following medications should the nurse prepare to administer?
a. vitamin K1 (Phytonadione)
b. atropine
c. protamine
d. calcium gluconate
c. protamine
A nurse is planning to adminsiter IV alteplase (Activase) to a client who is demonstrating manifestations of a massive pulmonary embolism. Which of the follwoing interventions is appropriate for the nurse to plan?
a. give IM enoxaparin along with talterplase dose.
b. hold direct pressure on puncture sites for up to 30 min.
c. administer aminocaproic acid (Amicar) IV prior to alterplase infusion.
d. prepare to administer alterplase within 8 hr of manifestation onset.
b. hold direct pressure on puncture sites for up to 30 min.
A nurse is caring for a client who has atrial fibrillation and is has a new prescription for dabigatran (Pradaxa) to prevent development of thrombosis. Which of the following medications is prescribed concurrently to treat an adverse effect of dabigatran?
a. vitamin K1 (Phytonadione)
b. protamine
c. omeprazole (Prilosec)
d. probenecid (Benemid)
c. omeprazole (Prilosec)
